Active NPI
Georliza Vega, PA
- Physician Assistant
- Miami Lakes, FL
National Provider Identifier
1023439189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAT9107452
- Practice address
- 7975 NW 154TH St
Miami Lakes, FL 33016-5863 - Phone
- (305) 556-5671
- NPI assigned
- Dec 16, 2013
- Last updated
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAT9107452 | FL | Primary |
Addresses
Primary practice location
7975 NW 154TH St
Miami Lakes, FL 33016-5863
Mailing address
7975 NW 154TH St
Miami Lakes, FL 33016-5863
Phone (305) 556-5671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAT9107452 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1023439189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7975 NW 154TH ST",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330165863",
"telephone_number": "305-556-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7975 NW 154TH ST",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330165863",
"telephone_number": "305-556-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "GEORLIZA",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-16",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PAT9107452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.